Generated Narrative: ConceptMap R5-Measure-element-map-to-R4 Mapping from http://hl7.org/fhir/5.0 to http://hl7.org/fhir/4.0 Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|5.0.0 to Measureversion: 4.0.1) Source Code Relationship Target Code Comment Measure.meta (meta) is equivalent to Measure.meta Element `Measure.meta` is mapped to FHIR R4 element `Measure.meta` as `Equivalent`. Measure.implicitRules (implicitRules) is equivalent to Measure.implicitRules Element `Measure.implicitRules` is mapped to FHIR R4 element `Measure.implicitRules` as `Equivalent`. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc. Measure.language (language) is equivalent to Measure.language Element `Measure.language` is mapped to FHIR R4 element `Measure.language` as `Equivalent`. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). Measure.text (text) is equivalent to Measure.text Element `Measure.text` is mapped to FHIR R4 element `Measure.text` as `Equivalent`. Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. Measure.contained (contained) is equivalent to Measure.contained Element `Measure.contained` is mapped to FHIR R4 element `Measure.contained` as `Equivalent`. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels. Measure.url (url) is equivalent to Measure.url Element `Measure.url` is mapped to FHIR R4 element `Measure.url` as `Equivalent`. Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version. The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in [Technical and Business Versions](https://hl7.org/fhir/resource..html#versions). In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](https://hl7.org/fhir/resou.html#meta) element to indicate where the current master source of the resource can be found. Measure.identifier (identifier) is equivalent to Measure.identifier Element `Measure.identifier` is mapped to FHIR R4 element `Measure.identifier` as `Equivalent`. Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this measure outside of FHIR, where it is not possible to use the logical URI. Measure.version (version) is equivalent to Measure.version Element `Measure.version` is mapped to FHIR R4 element `Measure.version` as `Equivalent`. There may be different measure instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the measure with the format [url]|[version]. The version SHOULD NOT contain a '#' - see [Business Version](https://hl7.org/fhir/resource.h.html#bv-format). Measure.name (name) is equivalent to Measure.name Element `Measure.name` is mapped to FHIR R4 element `Measure.name` as `Equivalent`. The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly. Measure.title (title) is equivalent to Measure.title Element `Measure.title` is mapped to FHIR R4 element `Measure.title` as `Equivalent`. This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc. Measure.subtitle (subtitle) is equivalent to Measure.subtitle Element `Measure.subtitle` is mapped to FHIR R4 element `Measure.subtitle` as `Equivalent`. Measure.status (status) is equivalent to Measure.status Element `Measure.status` is mapped to FHIR R4 element `Measure.status` as `Equivalent`. Allows filtering of measures that are appropriate for use versus not. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization). Measure.experimental (experimental) is equivalent to Measure.experimental Element `Measure.experimental` is mapped to FHIR R4 element `Measure.experimental` as `Equivalent`. Allows filtering of measures that are appropriate for use versus not. Measure.subject[x] (subject[x]) is equivalent to Measure.subject[x] Element `Measure.subject[x]` is mapped to FHIR R4 element `Measure.subject[x]` as `Equivalent`. The target context `Measure.subject[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Measure`. The subject of the measure is critical in interpreting the criteria definitions, as the logic in the measures is evaluated with respect to a particular subject. This corresponds roughly to the notion of a Compartment in that it limits what content is available based on its relationship to the subject. In CQL, this corresponds to the context declaration. Measure.date (date) is equivalent to Measure.date Element `Measure.date` is mapped to FHIR R4 element `Measure.date` as `Equivalent`. The date is often not tracked until the resource is published, but may be present on draft content. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the measure. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization). Measure.publisher (publisher) is equivalent to Measure.publisher Element `Measure.publisher` is mapped to FHIR R4 element `Measure.publisher` as `Equivalent`. Usually an organization but may be an individual. The publisher (or steward) of the measure is the organization or individual primarily responsible for the maintenance and upkeep of the measure. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the measure. This item SHOULD be populated unless the information is available from context. Measure.contact (contact) is equivalent to Measure.contact Element `Measure.contact` is mapped to FHIR R4 element `Measure.contact` as `Equivalent`. May be a web site, an email address, a telephone number, etc. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization). Measure.description (description) is equivalent to Measure.description Element `Measure.description` is mapped to FHIR R4 element `Measure.description` as `Equivalent`. This description can be used to capture details such as comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the measure as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the measure is presumed to be the predominant language in the place the measure was created). Measure.useContext (useContext) is equivalent to Measure.useContext Element `Measure.useContext` is mapped to FHIR R4 element `Measure.useContext` as `Equivalent`. When multiple useContexts are specified, there is no expectation that all or any of the contexts apply. Measure.jurisdiction (jurisdiction) is equivalent to Measure.jurisdiction Element `Measure.jurisdiction` is mapped to FHIR R4 element `Measure.jurisdiction` as `Equivalent`. Element `Measure.jurisdiction` has been flagged as deprecated. It may be possible for the measure to be used in jurisdictions other than those for which it was originally designed or intended. DEPRECATION NOTE: For consistency, implementations are encouraged to migrate to using the new 'jurisdiction' code in the useContext element. (I.e. useContext.code indicating http://terminology.hl7.org/CodeSystem/usage-context-type#jurisdiction and useContext.valueCodeableConcept indicating the jurisdiction.) Measure.purpose (purpose) is equivalent to Measure.purpose Element `Measure.purpose` is mapped to FHIR R4 element `Measure.purpose` as `Equivalent`. This element does not describe the usage of the measure. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this measure. Measure.usage (usage) is equivalent to Measure.usage Element `Measure.usage` is mapped to FHIR R4 element `Measure.usage` as `Equivalent`. This metadata element was typically referred to as Guidance in HQMF Measure.copyright (copyright) is equivalent to Measure.copyright Element `Measure.copyright` is mapped to FHIR R4 element `Measure.copyright` as `Equivalent`. The short copyright declaration (e.g. (c) '2015+ xyz organization' should be sent in the copyrightLabel element. Measure.approvalDate (approvalDate) is equivalent to Measure.approvalDate Element `Measure.approvalDate` is mapped to FHIR R4 element `Measure.approvalDate` as `Equivalent`. The 'date' element may be more recent than the approval date because of minor changes or editorial corrections. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization). Measure.lastReviewDate (lastReviewDate) is equivalent to Measure.lastReviewDate Element `Measure.lastReviewDate` is mapped to FHIR R4 element `Measure.lastReviewDate` as `Equivalent`. If specified, this date follows the original approval date. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization). Measure.effectivePeriod (effectivePeriod) is equivalent to Measure.effectivePeriod Element `Measure.effectivePeriod` is mapped to FHIR R4 element `Measure.effectivePeriod` as `Equivalent`. The effective period for a measure determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization). Measure.topic (topic) is equivalent to Measure.topic Element `Measure.topic` is mapped to FHIR R4 element `Measure.topic` as `Equivalent`. Element `Measure.topic` has been flagged as deprecated. DEPRECATION NOTE: For consistency, implementations are encouraged to migrate to using the new 'topic' code in the useContext element. (I.e. useContext.code indicating http://terminology.hl7.org/CodeSystem/usage-context-type#topic and useContext.valueCodeableConcept indicating the topic) Measure.author (author) is equivalent to Measure.author Element `Measure.author` is mapped to FHIR R4 element `Measure.author` as `Equivalent`. Measure.editor (editor) is equivalent to Measure.editor Element `Measure.editor` is mapped to FHIR R4 element `Measure.editor` as `Equivalent`. Measure.reviewer (reviewer) is equivalent to Measure.reviewer Element `Measure.reviewer` is mapped to FHIR R4 element `Measure.reviewer` as `Equivalent`. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization). Measure.endorser (endorser) is equivalent to Measure.endorser Element `Measure.endorser` is mapped to FHIR R4 element `Measure.endorser` as `Equivalent`. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization). Measure.relatedArtifact (relatedArtifact) is equivalent to Measure.relatedArtifact Element `Measure.relatedArtifact` is mapped to FHIR R4 element `Measure.relatedArtifact` as `Equivalent`. Each related artifact is either an attachment, or a reference to another resource, but not both. Measure.library (library) is equivalent to Measure.library Element `Measure.library` is mapped to FHIR R4 element `Measure.library` as `Equivalent`. Measure.disclaimer (disclaimer) is equivalent to Measure.disclaimer Element `Measure.disclaimer` is mapped to FHIR R4 element `Measure.disclaimer` as `Equivalent`. Measure.scoring (scoring) is equivalent to Measure.scoring Element `Measure.scoring` is mapped to FHIR R4 element `Measure.scoring` as `Equivalent`. Measure.compositeScoring (compositeScoring) is equivalent to Measure.compositeScoring Element `Measure.compositeScoring` is mapped to FHIR R4 element `Measure.compositeScoring` as `Equivalent`. Measure.type (type) is equivalent to Measure.type Element `Measure.type` is mapped to FHIR R4 element `Measure.type` as `Equivalent`. Measure.riskAdjustment (riskAdjustment) is equivalent to Measure.riskAdjustment Element `Measure.riskAdjustment` is mapped to FHIR R4 element `Measure.riskAdjustment` as `Equivalent`. Describes the method of adjusting for clinical severity and conditions present at the start of care that can influence patient outcomes for making valid comparisons of outcome measures across providers. Indicates whether a measure is subject to the statistical process for reducing, removing, or clarifying the influences of confounding factors to allow for more useful comparisons. Measure.rateAggregation (rateAggregation) is equivalent to Measure.rateAggregation Element `Measure.rateAggregation` is mapped to FHIR R4 element `Measure.rateAggregation` as `Equivalent`. The measure rate for an organization or clinician is based upon the entities’ aggregate data and summarizes the performance of the entity over a given time period (e.g., monthly, quarterly, yearly). The aggregated data are derived from the results of a specific measure algorithm and, if appropriate, the application of specific risk adjustment models. Can also be used to describe how to risk adjust the data based on supplemental data elements described in the eMeasure (e.g., pneumonia hospital measures antibiotic selection in the ICU versus non-ICU and then the roll-up of the two). This could be applied to aggregated cohort measure definitions (e.g., CDC's aggregate reporting for TB at the state level). Measure.rationale (rationale) is equivalent to Measure.rationale Element `Measure.rationale` is mapped to FHIR R4 element `Measure.rationale` as `Equivalent`. Measure.clinicalRecommendationStatement (clinicalRecommendationStatement) is equivalent to Measure.clinicalRecommendationStatement Element `Measure.clinicalRecommendationStatement` is mapped to FHIR R4 element `Measure.clinicalRecommendationStatement` as `Equivalent`. Measure.improvementNotation (improvementNotation) is equivalent to Measure.improvementNotation Element `Measure.improvementNotation` is mapped to FHIR R4 element `Measure.improvementNotation` as `Equivalent`. Measure.guidance (guidance) is equivalent to Measure.guidance Element `Measure.guidance` is mapped to FHIR R4 element `Measure.guidance` as `Equivalent`. Element `Measure.guidance` has been flagged as deprecated. NOTE: This element is deprecated in favor of the usage element Measure.group (group) maps to wider concept Measure.group Element `Measure.group` is mapped to FHIR R4 element `Measure.group` as `Equivalent`. Measure.group.code (code) is equivalent to Measure.group.code Element `Measure.group.code` is mapped to FHIR R4 element `Measure.group.code` as `Equivalent`. Measure.group.description (description) is equivalent to Measure.group.description Element `Measure.group.description` is mapped to FHIR R4 element `Measure.group.description` as `Equivalent`. Measure.group.population (population) maps to wider concept Measure.group.population Element `Measure.group.population` is mapped to FHIR R4 element `Measure.group.population` as `Equivalent`. Measure.group.population.code (code) is equivalent to Measure.group.population.code Element `Measure.group.population.code` is mapped to FHIR R4 element `Measure.group.population.code` as `Equivalent`. Measure.group.population.description (description) is equivalent to Measure.group.population.description Element `Measure.group.population.description` is mapped to FHIR R4 element `Measure.group.population.description` as `Equivalent`. Measure.group.population.criteria (criteria) is equivalent to Measure.group.population.criteria Element `Measure.group.population.criteria` is mapped to FHIR R4 element `Measure.group.population.criteria` as `Equivalent`. In the case of a continuous-variable or ratio measure, this may be the name of a function that calculates the value of the individual observation for each patient or event in the population. For these types of measures, individual observations are reported as observation resources included in the evaluatedResources bundle for each patient. See the MeasureReport resource or the Quality Reporting topic for more information. Measure.group.stratifier (stratifier) maps to wider concept Measure.group.stratifier Element `Measure.group.stratifier` is mapped to FHIR R4 element `Measure.group.stratifier` as `Equivalent`. Measure.group.stratifier.code (code) is equivalent to Measure.group.stratifier.code Element `Measure.group.stratifier.code` is mapped to FHIR R4 element `Measure.group.stratifier.code` as `Equivalent`. Measure.group.stratifier.description (description) is equivalent to Measure.group.stratifier.description Element `Measure.group.stratifier.description` is mapped to FHIR R4 element `Measure.group.stratifier.description` as `Equivalent`. Measure.group.stratifier.criteria (criteria) is equivalent to Measure.group.stratifier.criteria Element `Measure.group.stratifier.criteria` is mapped to FHIR R4 element `Measure.group.stratifier.criteria` as `Equivalent`. Measure.group.stratifier.component (component) maps to wider concept Measure.group.stratifier.component Element `Measure.group.stratifier.component` is mapped to FHIR R4 element `Measure.group.stratifier.component` as `Equivalent`. Stratifiers are defined either as a single criteria, or as a set of component criteria. Measure.group.stratifier.component.code (code) is equivalent to Measure.group.stratifier.component.code Element `Measure.group.stratifier.component.code` is mapped to FHIR R4 element `Measure.group.stratifier.component.code` as `Equivalent`. Measure.group.stratifier.component.description (description) is equivalent to Measure.group.stratifier.component.description Element `Measure.group.stratifier.component.description` is mapped to FHIR R4 element `Measure.group.stratifier.component.description` as `Equivalent`. Measure.group.stratifier.component.criteria (criteria) is equivalent to Measure.group.stratifier.component.criteria Element `Measure.group.stratifier.component.criteria` is mapped to FHIR R4 element `Measure.group.stratifier.component.criteria` as `Equivalent`. Measure.supplementalData (supplementalData) maps to wider concept Measure.supplementalData Element `Measure.supplementalData` is mapped to FHIR R4 element `Measure.supplementalData` as `Equivalent`. Note that supplemental data are reported as resources for each patient and referenced in the supplementalData element of the MeasureReport. If the supplementalData expression results in a value other than a resource, it is reported using an Observation resource, typically contained in the resulting MeasureReport. See the MeasureReport resource and the Quality Reporting topic for more information. Measure.supplementalData.code (code) is equivalent to Measure.supplementalData.code Element `Measure.supplementalData.code` is mapped to FHIR R4 element `Measure.supplementalData.code` as `Equivalent`. Measure.supplementalData.usage (usage) is equivalent to Measure.supplementalData.usage Element `Measure.supplementalData.usage` is mapped to FHIR R4 element `Measure.supplementalData.usage` as `Equivalent`. Measure.supplementalData.description (description) is equivalent to Measure.supplementalData.description Element `Measure.supplementalData.description` is mapped to FHIR R4 element `Measure.supplementalData.description` as `Equivalent`. Measure.supplementalData.criteria (criteria) is equivalent to Measure.supplementalData.criteria Element `Measure.supplementalData.criteria` is mapped to FHIR R4 element `Measure.supplementalData.criteria` as `Equivalent`. Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|5.0.0 to R5: Population basis (new)version: 0.1.0) Source Code Relationship Target Code Comment Measure.basis (basis) maps to wider concept Extension (R5: Population basis (new)) Element `Measure.basis` has a context of Measure based on following the parent source element upwards and mapping to `Measure`. Element `Measure.basis` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). For a subject-based measure, the population basis is simply boolean; all the criteria are expressed as true/false conditions that determine membership of an individual case in the population. For non-subject-based measures, the population basis can be any resource type, and the criteria are queries that return the subject's contribution to the population as a list of that resource type. For example, for a procedure-based measure, the population criteria would return lists of procedures that should be included in each population. Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|5.0.0 to R5: What units? (new)version: 0.1.0) Source Code Relationship Target Code Comment Measure.scoringUnit (scoringUnit) maps to wider concept Extension (R5: What units? (new)) Element `Measure.scoringUnit` has a context of Measure based on following the parent source element upwards and mapping to `Measure`. Element `Measure.scoringUnit` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). When this element is specified, implementations are expected to report measure scores in the specified units. Note that this may involve unit conversion if the expected units are different than the units of the resulting score calculation. In this case, unit conversions SHALL be performed according to the unit conversion semantics specified by UCUM. Group 4 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|5.0.0 to R5: Defined terms used in the measure documentation (new)version: 0.1.0) Source Code Relationship Target Code Comment Measure.term (term) maps to wider concept Extension (R5: Defined terms used in the measure documentation (new)) Element `Measure.term` has a context of Measure based on following the parent source element upwards and mapping to `Measure`. Element `Measure.term` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Measure.term.code (code) maps to wider concept Extension.extension:code (R5: What term? (new)) Element `Measure.term.code` is part of an existing definition because parent element `Measure.term` requires a cross-version extension. Element `Measure.term.code` has a context of Measure based on following the parent source element upwards and mapping to `Measure`. Element `Measure.term.code` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Measure.term.definition (definition) maps to wider concept Extension.extension:definition (R5: Meaning of the term (new)) Element `Measure.term.definition` is part of an existing definition because parent element `Measure.term` requires a cross-version extension. Element `Measure.term.definition` has a context of Measure based on following the parent source element upwards and mapping to `Measure`. Element `Measure.term.definition` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Group 5 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|5.0.0 to R5: Unique id for group in measure (new)version: 0.1.0) Source Code Relationship Target Code Comment Measure.group.linkId (linkId) maps to wider concept Extension (R5: Unique id for group in measure (new)) Element `Measure.group.linkId` has a context of Measure.group based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.linkId` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning. GUIDs or sequential numbers are appropriate here. LinkIds can have whitespaces and slashes by design. Tooling should not rely on linkIds being valid XHTML element IDs, and should not directly embed them as such Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|5.0.0 to R5: process | outcome | structure | patient-reported-outcome | composite (new)version: 0.1.0) Source Code Relationship Target Code Comment Measure.group.type (type) maps to wider concept Extension (R5: process | outcome | structure | patient-reported-outcome | composite (new)) Element `Measure.group.type` has a context of Measure.group based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). When specified at the group level, defines the measure type for this specific group. If not specified, the measureType of the group is determined by the root type element Group 7 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|5.0.0 to R5: E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device (new)version: 0.1.0) Source Code Relationship Target Code Comment Measure.group.subject[x] (subject[x]) maps to wider concept Extension (R5: E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device (new)) Element `Measure.group.subject[x]` has a context of Measure.group based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.subject[x]` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). The subject of the measure is critical in interpreting the criteria definitions, as the logic in the measures is evaluated with respect to a particular subject. This corresponds roughly to the notion of a Compartment in that it limits what content is available based on its relationship to the subject. In CQL, this corresponds to the context declaration. Group 8 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|5.0.0 to R5: Population basis (new)version: 0.1.0) Source Code Relationship Target Code Comment Measure.group.basis (basis) maps to wider concept Extension (R5: Population basis (new)) Element `Measure.group.basis` has a context of Measure.group based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.basis` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). When specified at the group level, defines the population basis for this specific group. If not specified, the basis for the group is determined by the root basis element Group 9 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|5.0.0 to R5: proportion | ratio | continuous-variable | cohort (new)version: 0.1.0) Source Code Relationship Target Code Comment Measure.group.scoring (scoring) maps to wider concept Extension (R5: proportion | ratio | continuous-variable | cohort (new)) Element `Measure.group.scoring` has a context of Measure.group based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.scoring` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). When specified at the group level, defines the scoring for this specific group. If not specified, scoring for this group is determined by the root scoring element Group 10 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|5.0.0 to R5: What units? (new)version: 0.1.0) Source Code Relationship Target Code Comment Measure.group.scoringUnit (scoringUnit) maps to wider concept Extension (R5: What units? (new)) Element `Measure.group.scoringUnit` has a context of Measure.group based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.scoringUnit` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). When specified at the group level, this defines the scoringUnit for this specific group. If not specified, the scoringUnit for this group is determined by the root scoringUnit element. As with the root element, when this element is specified, implementations are expected to report measure scores in the specified units. Note that this may involve unit conversion if the expected units are different than the units of the resulting score calculation. In this case, unit conversions SHALL be performed according to the unit conversion semantics specified by UCUM. Group 11 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|5.0.0 to R5: How is rate aggregation performed for this measure (new)version: 0.1.0) Source Code Relationship Target Code Comment Measure.group.rateAggregation (rateAggregation) maps to wider concept Extension (R5: How is rate aggregation performed for this measure (new)) Element `Measure.group.rateAggregation` has a context of Measure.group based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.rateAggregation` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). The measure rate for an organization or clinician is based upon the entities’ aggregate data and summarizes the performance of the entity over a given time period (e.g., monthly, quarterly, yearly). The aggregated data are derived from the results of a specific measure algorithm and, if appropriate, the application of specific risk adjustment models. Can also be used to describe how to risk adjust the data based on supplemental data elements described in the eMeasure (e.g., pneumonia hospital measures antibiotic selection in the ICU versus non-ICU and then the roll-up of the two). This could be applied to aggregated cohort measure definitions (e.g., CDC's aggregate reporting for TB at the state level). Group 12 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|5.0.0 to R5: increase | decrease (new)version: 0.1.0) Source Code Relationship Target Code Comment Measure.group.improvementNotation (improvementNotation) maps to wider concept Extension (R5: increase | decrease (new)) Element `Measure.group.improvementNotation` has a context of Measure.group based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.improvementNotation` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). When specified at the group level, this element defines the improvementNotation for this specific group. If not specified, improvementNotation for this group is determined by the root improvementNotation element Group 13 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|5.0.0 to R5: Logic used by the measure group (new)version: 0.1.0) Source Code Relationship Target Code Comment Measure.group.library (library) maps to wider concept Extension (R5: Logic used by the measure group (new)) Element `Measure.group.library` has a context of Measure.group based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.library` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Group 14 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|5.0.0 to R5: Unique id for population in measure (new)version: 0.1.0) Source Code Relationship Target Code Comment Measure.group.population.linkId (linkId) maps to wider concept Extension (R5: Unique id for population in measure (new)) Element `Measure.group.population.linkId` has a context of Measure.group.population based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.population.linkId` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning. GUIDs or sequential numbers are appropriate here. LinkIds can have whitespaces and slashes by design. Tooling should not rely on linkIds being valid XHTML element IDs, and should not directly embed them as such Group 15 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|5.0.0 to R5: A group resource that defines this population (new)version: 0.1.0) Source Code Relationship Target Code Comment Measure.group.population.groupDefinition (groupDefinition) maps to wider concept Extension (R5: A group resource that defines this population (new)) Element `Measure.group.population.groupDefinition` has a context of Measure.group.population based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.population.groupDefinition` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Note that this approach can only be used for measures where the basis is of the same type as the populations (e.g. a Patient-based measure, rather than an Encounter-based measure). In addition, the referenced Group resource SHALL be a definitional (as opposed to an actual) group. Group 16 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|5.0.0 to R5: Which population (new)version: 0.1.0) Source Code Relationship Target Code Comment Measure.group.population.inputPopulationId (inputPopulationId) maps to wider concept Extension (R5: Which population (new)) Element `Measure.group.population.inputPopulationId` has a context of Measure.group.population based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.population.inputPopulationId` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Group 17 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|5.0.0 to R5: Aggregation method for a measure score (e.g. sum, average, median, minimum, maximum, count) (new)version: 0.1.0) Source Code Relationship Target Code Comment Measure.group.population.aggregateMethod (aggregateMethod) maps to wider concept Extension (R5: Aggregation method for a measure score (e.g. sum, average, median, minimum, maximum, count) (new)) Element `Measure.group.population.aggregateMethod` has a context of Measure.group.population based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.population.aggregateMethod` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Group 18 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|5.0.0 to R5: Unique id for stratifier in measure (new)version: 0.1.0) Source Code Relationship Target Code Comment Measure.group.stratifier.linkId (linkId) maps to wider concept Extension (R5: Unique id for stratifier in measure (new)) Element `Measure.group.stratifier.linkId` has a context of Measure.group.stratifier based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.stratifier.linkId` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning. GUIDs or sequential numbers are appropriate here. LinkIds can have whitespaces and slashes by design. Tooling should not rely on linkIds being valid XHTML element IDs, and should not directly embed them as such Group 19 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|5.0.0 to R5: A group resource that defines this population (new)version: 0.1.0) Source Code Relationship Target Code Comment Measure.group.stratifier.groupDefinition (groupDefinition) maps to wider concept Extension (R5: A group resource that defines this population (new)) Element `Measure.group.stratifier.groupDefinition` has a context of Measure.group.stratifier based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.stratifier.groupDefinition` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Note that this approach can only be used for measures where the basis is of the same type as the populations (e.g. a Patient-based measure, rather than an Encounter-based measure). In addition, the referenced Group SHALL be a definitional (as opposed to an actual) group. Group 20 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|5.0.0 to R5: Unique id for stratifier component in measure (new)version: 0.1.0) Source Code Relationship Target Code Comment Measure.group.stratifier.component.linkId (linkId) maps to wider concept Extension (R5: Unique id for stratifier component in measure (new)) Element `Measure.group.stratifier.component.linkId` has a context of Measure.group.stratifier.component based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.stratifier.component.linkId` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning. GUIDs or sequential numbers are appropriate here. LinkIds can have whitespaces and slashes by design. Tooling should not rely on linkIds being valid XHTML element IDs, and should not directly embed them as such Group 21 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|5.0.0 to R5: A group resource that defines this population (new)version: 0.1.0) Source Code Relationship Target Code Comment Measure.group.stratifier.component.groupDefinition (groupDefinition) maps to wider concept Extension (R5: A group resource that defines this population (new)) Element `Measure.group.stratifier.component.groupDefinition` has a context of Measure.group.stratifier.component based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.stratifier.component.groupDefinition` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Note that this approach can only be used for measures where the basis is of the same type as the populations (e.g. a Patient-based measure, rather than an Encounter-based measure). In addition, the referenced Group SHALL be a definitional (as opposed to an actual) group. Group 22 Mapping from http://hl7.org/fhir/StructureDefinition/Measure|5.0.0 to R5: Unique id for supplementalData in measure (new)version: 0.1.0) Source Code Relationship Target Code Comment Measure.supplementalData.linkId (linkId) maps to wider concept Extension (R5: Unique id for supplementalData in measure (new)) Element `Measure.supplementalData.linkId` has a context of Measure.supplementalData based on following the parent source element upwards and mapping to `Measure`. Element `Measure.supplementalData.linkId` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning. GUIDs or sequential numbers are appropriate here. LinkIds can have whitespaces and slashes by design. Tooling should not rely on linkIds being valid XHTML element IDs, and should not directly embed them as such
Cross-version mapping for FHIR R5 Measure to FHIR R4 Measure
This ConceptMap represents cross-version mappings for elements from a FHIR R5 Measure to FHIR R4.
Element `Measure.meta` is mapped to FHIR R4 element `Measure.meta` as `Equivalent`.
Element `Measure.implicitRules` is mapped to FHIR R4 element `Measure.implicitRules` as `Equivalent`. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.
Element `Measure.language` is mapped to FHIR R4 element `Measure.language` as `Equivalent`. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Element `Measure.text` is mapped to FHIR R4 element `Measure.text` as `Equivalent`. Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Element `Measure.contained` is mapped to FHIR R4 element `Measure.contained` as `Equivalent`. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.
Element `Measure.url` is mapped to FHIR R4 element `Measure.url` as `Equivalent`. Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances may share the same URL if they have a distinct version. The determination of when to create a new version of a resource (same url, new version) vs. defining a new artifact is up to the author. Considerations for making this decision are found in [Technical and Business Versions](https://hl7.org/fhir/resource..html#versions). In some cases, the resource can no longer be found at the stated url, but the url itself cannot change. Implementations can use the [meta.source](https://hl7.org/fhir/resou.html#meta) element to indicate where the current master source of the resource can be found.
Element `Measure.identifier` is mapped to FHIR R4 element `Measure.identifier` as `Equivalent`. Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier) data type, and can then identify this measure outside of FHIR, where it is not possible to use the logical URI.
Element `Measure.version` is mapped to FHIR R4 element `Measure.version` as `Equivalent`. There may be different measure instances that have the same identifier but different versions. The version can be appended to the url in a reference to allow a reference to a particular business version of the measure with the format [url]|[version]. The version SHOULD NOT contain a '#' - see [Business Version](https://hl7.org/fhir/resource.h.html#bv-format).
Element `Measure.name` is mapped to FHIR R4 element `Measure.name` as `Equivalent`. The name is not expected to be globally unique. The name should be a simple alphanumeric type name to ensure that it is machine-processing friendly.
Element `Measure.title` is mapped to FHIR R4 element `Measure.title` as `Equivalent`. This name does not need to be machine-processing friendly and may contain punctuation, white-space, etc.
Element `Measure.subtitle` is mapped to FHIR R4 element `Measure.subtitle` as `Equivalent`.
Element `Measure.status` is mapped to FHIR R4 element `Measure.status` as `Equivalent`. Allows filtering of measures that are appropriate for use versus not. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization).
Element `Measure.experimental` is mapped to FHIR R4 element `Measure.experimental` as `Equivalent`. Allows filtering of measures that are appropriate for use versus not.
Element `Measure.subject[x]` is mapped to FHIR R4 element `Measure.subject[x]` as `Equivalent`. The target context `Measure.subject[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Measure`. The subject of the measure is critical in interpreting the criteria definitions, as the logic in the measures is evaluated with respect to a particular subject. This corresponds roughly to the notion of a Compartment in that it limits what content is available based on its relationship to the subject. In CQL, this corresponds to the context declaration.
Element `Measure.date` is mapped to FHIR R4 element `Measure.date` as `Equivalent`. The date is often not tracked until the resource is published, but may be present on draft content. Note that this is not the same as the resource last-modified-date, since the resource may be a secondary representation of the measure. Additional specific dates may be added as extensions or be found by consulting Provenances associated with past versions of the resource. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization).
Element `Measure.publisher` is mapped to FHIR R4 element `Measure.publisher` as `Equivalent`. Usually an organization but may be an individual. The publisher (or steward) of the measure is the organization or individual primarily responsible for the maintenance and upkeep of the measure. This is not necessarily the same individual or organization that developed and initially authored the content. The publisher is the primary point of contact for questions or issues with the measure. This item SHOULD be populated unless the information is available from context.
Element `Measure.contact` is mapped to FHIR R4 element `Measure.contact` as `Equivalent`. May be a web site, an email address, a telephone number, etc. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization).
Element `Measure.description` is mapped to FHIR R4 element `Measure.description` as `Equivalent`. This description can be used to capture details such as comments about misuse, instructions for clinical use and interpretation, literature references, examples from the paper world, etc. It is not a rendering of the measure as conveyed in the 'text' field of the resource itself. This item SHOULD be populated unless the information is available from context (e.g. the language of the measure is presumed to be the predominant language in the place the measure was created).
Element `Measure.useContext` is mapped to FHIR R4 element `Measure.useContext` as `Equivalent`. When multiple useContexts are specified, there is no expectation that all or any of the contexts apply.
Element `Measure.jurisdiction` is mapped to FHIR R4 element `Measure.jurisdiction` as `Equivalent`. Element `Measure.jurisdiction` has been flagged as deprecated. It may be possible for the measure to be used in jurisdictions other than those for which it was originally designed or intended. DEPRECATION NOTE: For consistency, implementations are encouraged to migrate to using the new 'jurisdiction' code in the useContext element. (I.e. useContext.code indicating http://terminology.hl7.org/CodeSystem/usage-context-type#jurisdiction and useContext.valueCodeableConcept indicating the jurisdiction.)
Element `Measure.purpose` is mapped to FHIR R4 element `Measure.purpose` as `Equivalent`. This element does not describe the usage of the measure. Instead, it provides traceability of ''why'' the resource is either needed or ''why'' it is defined as it is. This may be used to point to source materials or specifications that drove the structure of this measure.
Element `Measure.usage` is mapped to FHIR R4 element `Measure.usage` as `Equivalent`. This metadata element was typically referred to as Guidance in HQMF
Element `Measure.copyright` is mapped to FHIR R4 element `Measure.copyright` as `Equivalent`. The short copyright declaration (e.g. (c) '2015+ xyz organization' should be sent in the copyrightLabel element.
Element `Measure.approvalDate` is mapped to FHIR R4 element `Measure.approvalDate` as `Equivalent`. The 'date' element may be more recent than the approval date because of minor changes or editorial corrections. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization).
Element `Measure.lastReviewDate` is mapped to FHIR R4 element `Measure.lastReviewDate` as `Equivalent`. If specified, this date follows the original approval date. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization).
Element `Measure.effectivePeriod` is mapped to FHIR R4 element `Measure.effectivePeriod` as `Equivalent`. The effective period for a measure determines when the content is applicable for usage and is independent of publication and review dates. For example, a measure intended to be used for the year 2016 might be published in 2015. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization).
Element `Measure.topic` is mapped to FHIR R4 element `Measure.topic` as `Equivalent`. Element `Measure.topic` has been flagged as deprecated. DEPRECATION NOTE: For consistency, implementations are encouraged to migrate to using the new 'topic' code in the useContext element. (I.e. useContext.code indicating http://terminology.hl7.org/CodeSystem/usage-context-type#topic and useContext.valueCodeableConcept indicating the topic)
Element `Measure.author` is mapped to FHIR R4 element `Measure.author` as `Equivalent`.
Element `Measure.editor` is mapped to FHIR R4 element `Measure.editor` as `Equivalent`.
Element `Measure.reviewer` is mapped to FHIR R4 element `Measure.reviewer` as `Equivalent`. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization).
Element `Measure.endorser` is mapped to FHIR R4 element `Measure.endorser` as `Equivalent`. See guidance around (not) making local changes to elements [here](https://hl7.org/fhir/canonicalreso.html#localization).
Element `Measure.relatedArtifact` is mapped to FHIR R4 element `Measure.relatedArtifact` as `Equivalent`. Each related artifact is either an attachment, or a reference to another resource, but not both.
Element `Measure.library` is mapped to FHIR R4 element `Measure.library` as `Equivalent`.
Element `Measure.disclaimer` is mapped to FHIR R4 element `Measure.disclaimer` as `Equivalent`.
Element `Measure.scoring` is mapped to FHIR R4 element `Measure.scoring` as `Equivalent`.
Element `Measure.compositeScoring` is mapped to FHIR R4 element `Measure.compositeScoring` as `Equivalent`.
Element `Measure.type` is mapped to FHIR R4 element `Measure.type` as `Equivalent`.
Element `Measure.riskAdjustment` is mapped to FHIR R4 element `Measure.riskAdjustment` as `Equivalent`. Describes the method of adjusting for clinical severity and conditions present at the start of care that can influence patient outcomes for making valid comparisons of outcome measures across providers. Indicates whether a measure is subject to the statistical process for reducing, removing, or clarifying the influences of confounding factors to allow for more useful comparisons.
Element `Measure.rateAggregation` is mapped to FHIR R4 element `Measure.rateAggregation` as `Equivalent`. The measure rate for an organization or clinician is based upon the entities’ aggregate data and summarizes the performance of the entity over a given time period (e.g., monthly, quarterly, yearly). The aggregated data are derived from the results of a specific measure algorithm and, if appropriate, the application of specific risk adjustment models. Can also be used to describe how to risk adjust the data based on supplemental data elements described in the eMeasure (e.g., pneumonia hospital measures antibiotic selection in the ICU versus non-ICU and then the roll-up of the two). This could be applied to aggregated cohort measure definitions (e.g., CDC's aggregate reporting for TB at the state level).
Element `Measure.rationale` is mapped to FHIR R4 element `Measure.rationale` as `Equivalent`.
Element `Measure.clinicalRecommendationStatement` is mapped to FHIR R4 element `Measure.clinicalRecommendationStatement` as `Equivalent`.
Element `Measure.improvementNotation` is mapped to FHIR R4 element `Measure.improvementNotation` as `Equivalent`.
Element `Measure.guidance` is mapped to FHIR R4 element `Measure.guidance` as `Equivalent`. Element `Measure.guidance` has been flagged as deprecated. NOTE: This element is deprecated in favor of the usage element
Element `Measure.group` is mapped to FHIR R4 element `Measure.group` as `Equivalent`.
Element `Measure.group.code` is mapped to FHIR R4 element `Measure.group.code` as `Equivalent`.
Element `Measure.group.description` is mapped to FHIR R4 element `Measure.group.description` as `Equivalent`.
Element `Measure.group.population` is mapped to FHIR R4 element `Measure.group.population` as `Equivalent`.
Element `Measure.group.population.code` is mapped to FHIR R4 element `Measure.group.population.code` as `Equivalent`.
Element `Measure.group.population.description` is mapped to FHIR R4 element `Measure.group.population.description` as `Equivalent`.
Element `Measure.group.population.criteria` is mapped to FHIR R4 element `Measure.group.population.criteria` as `Equivalent`. In the case of a continuous-variable or ratio measure, this may be the name of a function that calculates the value of the individual observation for each patient or event in the population. For these types of measures, individual observations are reported as observation resources included in the evaluatedResources bundle for each patient. See the MeasureReport resource or the Quality Reporting topic for more information.
Element `Measure.group.stratifier` is mapped to FHIR R4 element `Measure.group.stratifier` as `Equivalent`.
Element `Measure.group.stratifier.code` is mapped to FHIR R4 element `Measure.group.stratifier.code` as `Equivalent`.
Element `Measure.group.stratifier.description` is mapped to FHIR R4 element `Measure.group.stratifier.description` as `Equivalent`.
Element `Measure.group.stratifier.criteria` is mapped to FHIR R4 element `Measure.group.stratifier.criteria` as `Equivalent`.
Element `Measure.group.stratifier.component` is mapped to FHIR R4 element `Measure.group.stratifier.component` as `Equivalent`. Stratifiers are defined either as a single criteria, or as a set of component criteria.
Element `Measure.group.stratifier.component.code` is mapped to FHIR R4 element `Measure.group.stratifier.component.code` as `Equivalent`.
Element `Measure.group.stratifier.component.description` is mapped to FHIR R4 element `Measure.group.stratifier.component.description` as `Equivalent`.
Element `Measure.group.stratifier.component.criteria` is mapped to FHIR R4 element `Measure.group.stratifier.component.criteria` as `Equivalent`.
Element `Measure.supplementalData` is mapped to FHIR R4 element `Measure.supplementalData` as `Equivalent`. Note that supplemental data are reported as resources for each patient and referenced in the supplementalData element of the MeasureReport. If the supplementalData expression results in a value other than a resource, it is reported using an Observation resource, typically contained in the resulting MeasureReport. See the MeasureReport resource and the Quality Reporting topic for more information.
Element `Measure.supplementalData.code` is mapped to FHIR R4 element `Measure.supplementalData.code` as `Equivalent`.
Element `Measure.supplementalData.usage` is mapped to FHIR R4 element `Measure.supplementalData.usage` as `Equivalent`.
Element `Measure.supplementalData.description` is mapped to FHIR R4 element `Measure.supplementalData.description` as `Equivalent`.
Element `Measure.supplementalData.criteria` is mapped to FHIR R4 element `Measure.supplementalData.criteria` as `Equivalent`.
Element `Measure.basis` has a context of Measure based on following the parent source element upwards and mapping to `Measure`. Element `Measure.basis` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). For a subject-based measure, the population basis is simply boolean; all the criteria are expressed as true/false conditions that determine membership of an individual case in the population. For non-subject-based measures, the population basis can be any resource type, and the criteria are queries that return the subject's contribution to the population as a list of that resource type. For example, for a procedure-based measure, the population criteria would return lists of procedures that should be included in each population.
Element `Measure.scoringUnit` has a context of Measure based on following the parent source element upwards and mapping to `Measure`. Element `Measure.scoringUnit` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). When this element is specified, implementations are expected to report measure scores in the specified units. Note that this may involve unit conversion if the expected units are different than the units of the resulting score calculation. In this case, unit conversions SHALL be performed according to the unit conversion semantics specified by UCUM.
Element `Measure.term` has a context of Measure based on following the parent source element upwards and mapping to `Measure`. Element `Measure.term` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Element `Measure.term.code` is part of an existing definition because parent element `Measure.term` requires a cross-version extension. Element `Measure.term.code` has a context of Measure based on following the parent source element upwards and mapping to `Measure`. Element `Measure.term.code` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Element `Measure.term.definition` is part of an existing definition because parent element `Measure.term` requires a cross-version extension. Element `Measure.term.definition` has a context of Measure based on following the parent source element upwards and mapping to `Measure`. Element `Measure.term.definition` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Element `Measure.group.linkId` has a context of Measure.group based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.linkId` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning. GUIDs or sequential numbers are appropriate here. LinkIds can have whitespaces and slashes by design. Tooling should not rely on linkIds being valid XHTML element IDs, and should not directly embed them as such
Element `Measure.group.type` has a context of Measure.group based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). When specified at the group level, defines the measure type for this specific group. If not specified, the measureType of the group is determined by the root type element
Element `Measure.group.subject[x]` has a context of Measure.group based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.subject[x]` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). The subject of the measure is critical in interpreting the criteria definitions, as the logic in the measures is evaluated with respect to a particular subject. This corresponds roughly to the notion of a Compartment in that it limits what content is available based on its relationship to the subject. In CQL, this corresponds to the context declaration.
Element `Measure.group.basis` has a context of Measure.group based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.basis` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). When specified at the group level, defines the population basis for this specific group. If not specified, the basis for the group is determined by the root basis element
Element `Measure.group.scoring` has a context of Measure.group based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.scoring` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). When specified at the group level, defines the scoring for this specific group. If not specified, scoring for this group is determined by the root scoring element
Element `Measure.group.scoringUnit` has a context of Measure.group based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.scoringUnit` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). When specified at the group level, this defines the scoringUnit for this specific group. If not specified, the scoringUnit for this group is determined by the root scoringUnit element. As with the root element, when this element is specified, implementations are expected to report measure scores in the specified units. Note that this may involve unit conversion if the expected units are different than the units of the resulting score calculation. In this case, unit conversions SHALL be performed according to the unit conversion semantics specified by UCUM.
Element `Measure.group.rateAggregation` has a context of Measure.group based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.rateAggregation` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). The measure rate for an organization or clinician is based upon the entities’ aggregate data and summarizes the performance of the entity over a given time period (e.g., monthly, quarterly, yearly). The aggregated data are derived from the results of a specific measure algorithm and, if appropriate, the application of specific risk adjustment models. Can also be used to describe how to risk adjust the data based on supplemental data elements described in the eMeasure (e.g., pneumonia hospital measures antibiotic selection in the ICU versus non-ICU and then the roll-up of the two). This could be applied to aggregated cohort measure definitions (e.g., CDC's aggregate reporting for TB at the state level).
Element `Measure.group.improvementNotation` has a context of Measure.group based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.improvementNotation` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). When specified at the group level, this element defines the improvementNotation for this specific group. If not specified, improvementNotation for this group is determined by the root improvementNotation element
Element `Measure.group.library` has a context of Measure.group based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.library` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Element `Measure.group.population.linkId` has a context of Measure.group.population based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.population.linkId` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning. GUIDs or sequential numbers are appropriate here. LinkIds can have whitespaces and slashes by design. Tooling should not rely on linkIds being valid XHTML element IDs, and should not directly embed them as such
Element `Measure.group.population.groupDefinition` has a context of Measure.group.population based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.population.groupDefinition` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Note that this approach can only be used for measures where the basis is of the same type as the populations (e.g. a Patient-based measure, rather than an Encounter-based measure). In addition, the referenced Group resource SHALL be a definitional (as opposed to an actual) group.
Element `Measure.group.population.inputPopulationId` has a context of Measure.group.population based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.population.inputPopulationId` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Element `Measure.group.population.aggregateMethod` has a context of Measure.group.population based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.population.aggregateMethod` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
Element `Measure.group.stratifier.linkId` has a context of Measure.group.stratifier based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.stratifier.linkId` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning. GUIDs or sequential numbers are appropriate here. LinkIds can have whitespaces and slashes by design. Tooling should not rely on linkIds being valid XHTML element IDs, and should not directly embed them as such
Element `Measure.group.stratifier.groupDefinition` has a context of Measure.group.stratifier based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.stratifier.groupDefinition` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Note that this approach can only be used for measures where the basis is of the same type as the populations (e.g. a Patient-based measure, rather than an Encounter-based measure). In addition, the referenced Group SHALL be a definitional (as opposed to an actual) group.
Element `Measure.group.stratifier.component.linkId` has a context of Measure.group.stratifier.component based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.stratifier.component.linkId` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning. GUIDs or sequential numbers are appropriate here. LinkIds can have whitespaces and slashes by design. Tooling should not rely on linkIds being valid XHTML element IDs, and should not directly embed them as such
Element `Measure.group.stratifier.component.groupDefinition` has a context of Measure.group.stratifier.component based on following the parent source element upwards and mapping to `Measure`. Element `Measure.group.stratifier.component.groupDefinition` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). Note that this approach can only be used for measures where the basis is of the same type as the populations (e.g. a Patient-based measure, rather than an Encounter-based measure). In addition, the referenced Group SHALL be a definitional (as opposed to an actual) group.
Element `Measure.supplementalData.linkId` has a context of Measure.supplementalData based on following the parent source element upwards and mapping to `Measure`. Element `Measure.supplementalData.linkId` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended to have any meaning. GUIDs or sequential numbers are appropriate here. LinkIds can have whitespaces and slashes by design. Tooling should not rely on linkIds being valid XHTML element IDs, and should not directly embed them as such